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61.
Managed care poses numerous opportunities and challenges for today's health care organizations and their employees. This article investigates the ways that hospital nurses develop and make sense of their professional roles and organizational environments in a changing and often uncertain managed care setting. The case study approach used in this research combined qualitative methodologies to gain a rich, detailed, and contextual understanding of nurses' work roles and organizational experiences. After an analysis of interviews with 24 nurses and observations of nurses' communicative activities on one inpatient unit, the complexity of sensemaking and role development in a managed care environment is considered. Conclusions are then drawn regarding the theoretical and pragmatic implications of nurses' communicative processes, as they attempted to develop and understand their roles in a changing organizational context.  相似文献   
62.
Statistics on implementing secondary education in rural Iran indicate that such a process has not been successful. Data gathered by the author during 1974/75 fieldwork support such a conclusion. It is suggested that lack of success of secondary education in rural Iran may be attributed to some cultural and economic factors which vary for men and women. The importance of the modesty code and observation of purdah (seclusio?) may account for the low enrollment of females in secondary education in rural areas. However, the need for agricultural laborers in the villages may account for the low attendance of males. Background to the development of modern education is presented.  相似文献   
63.
Supportive communication was examined as a component of mothers’ sex discussion with children. Results demonstrated that mothers who communicated supportively were more open and disclosing when discussing sex and were more likely to provide sons with birth control information and instruction than mothers who communicated nonsupportively. The study concludes by raising several issues for future research and sex education pro‐ams for parents.  相似文献   
64.
Downward career changes are challenging in societies which place a premium on the accumulation of material wealth and discourage risk-taking, such as Singapore. To better understand how individuals manage their identities during such changes, 30 individuals who had completed a voluntary downward career change were interviewed. Results suggest three phases of communication during this process: (1) Decision making, in which individuals communicate to gather information about the change and seek support for it; (2) Announcement, in which they strategically time, frame, and deliver the message to maximize acceptance of the change; and (3) New career, in which they reframe, refocus, and recalibrate to increase their social identity. The findings suggest strategies individuals may use to effectively manage their social identities as they change careers and suggest strategies organizations may use for recruiting individuals into socially less-prestigious occupations.  相似文献   
65.
Heart patients are frequently advised to make lifestyle changes and communication with a romantic partner can help or hinder adoption of heart healthy behaviors. However, talking about lifestyle change can have both positive and negative meanings and this can create dilemmas for couples. We engaged in an interpretive analysis of interviews with 25 patients and 16 partners to identify the ways they managed the meanings of lifestyle change talk. Their communicative strategies included rationing talk, saying it nicely and framing it cooperatively. Each strategy had advantages and disadvantages as well as optimal conditions. We also identified interpretive lenses that shaped the meaning of talk, including legitimacy, patience, emphasizing the positive, moderation, benefits for both people, and perceived compliance. Finally, environmental resources (such as household patterns and communication with the social network) contextualized the meaning of talk. We proposed a model of the interrelated influence of communication, interpretation, and environment on the meanings of talking about lifestyle change.  相似文献   
66.
Organizational Surveys: A System for Employee Voice   总被引:1,自引:0,他引:1  
Although surveys are often used to assess and track employee attitudes and opinions over time and are used quite frequently by applied communication researchers, the use of surveys as a channel to voice employee attitudes and opinions has not been fully explored in the employee voice or basic organizational communication literature. With the increased call for accountability, effective applied communication researchers can play an important role in ensuring that organizations engage in the survey process in a manner that is “safe” for employees, and ethical and practical for the organization. Because the question of how to accomplish this task is complex and cannot be fully addressed within the constraints of a commentary, I offer three general principles to guide future researchers in helping overcome organizational communication problems:
  1. Build trust in the organizational survey process, the researcher(s), and the organization.

  2. Eliminate the adversarial relationship that often exists between management and employees who speak up.

  3. Provide evidence that the organization does more than purport to value the things that it says it values.

  相似文献   
67.
This article addresses the challenges PDS partnerships face as they go to scale. Based on Coburn's (2005) notions of scale, the article uses organizational theory to analyze data from a ten-year qualitative meta-synthesis of PDS partnership research. Based upon the analysis, the article offers four recommendations: PDS partnerships should sustain strong trajectories of research regarding their work; Stakeholders in PDS partnerships need to ensure that faculty and staff have adequate support to thrive; PDS partnerships need to be based upon enabling bureaucratic structures; and PDS partners need to create opportunities to engage with each other in positive, normative spaces.  相似文献   
68.
Knowledge on general or discipline-specific changes in the learning styles of university students can be utilised in the design and execution of courses, but little is known of such changes. The study examined the changes in the learning styles of three year groups of BSc Business Administration and Psychology students from admittance to one, two and three years later for the three year groups respectively. Learning styles were measured using the Danish Self-Assessment Learning Styles Inventory, which is an adaptation of Sternberg's MSG Thinking Styles Inventory within the theory of mental self-government. The Hierarchic and Oligarchic learning styles decreased significantly for all three year groups. The Judicial learning style increased significantly for the year groups who had studied for two and three years. The Global learning style increased significantly for the year group who had studied for one year. The findings are discussed in relation to comparable research.  相似文献   
69.
This case-study follows a school as it struggles to prepare for the changes brought about by Curriculum 2000 and the new key skills qualification. It describes the curriculum debate within the senior management team as it balanced the conflicting needs of subject popularity and necessity. It relates how inherent structural flaws were uncovered in the proposed curriculum strategy, how this very failure was used as an opportunity to initiate staff involvement in the design of curriculum structures and how success was subsequently fashioned from the process. It is a story of failure, consideration, reflection and improvement, and offers some insight into the lessons learned by management and teaching staff as they reflect on the process of change and their own participation in it.  相似文献   
70.
Abstract

Anticipating and adapting to change can prove challenging to interlibrary loan units. By incorporating organization theory into interlibrary loan operations, however, interlibrary loan practitioners at all staffing levels can discover new and more effective ways to respond to change. This article explores five organization theory topics as they apply to interlibrary loan: change, communication, culture, leadership, and motivation.  相似文献   
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